Journal of Tissue Viability RSS feed: Articles in Press. First Annual Focus Meeting of the EPUAP: 16-17 April, 2012, Tel Aviv University, Tel Aviv, Israel EPUAP Tel Aviv The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management. The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues. http://www.journaloftissueviability.com//inpress?rss=yesElsevier Inc.en © 2011 Tissue Viability Society. Published by Elsevier Inc. All rights reserved. Journal of Tissue Viability0965-206X2012-01-09 © 2011 Tissue Viability Society. Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.journaloftissueviability.com/article/PIIS0965206X11000751/abstract?rss=yesAbstract: Osteomyelitis is a challenging problem when it appears in the feet of patients with diabetes. Although the most frequent port of entry for bacteria is an ulcer, surgical wounds also permit entry of bacteria into the foot. This surgical complication may become limb-threatening, and treatment is a challenge. Here we present two cases of patients with neuropathic feet and palpable distal pulses, who were previously treated with surgery, and who presented with spreading bone infection in the midfoot. Pictures and radiological studies are shown. In both cases, bone infection caused severe destruction of the architecture of the midfoot, and the limbs of both patients were threatened. Midfoot osteomyelitis is associated with a higher rate of major amputations than osteomyelitis of the forefoot. Furthermore, meticillin-resistant Staphylococcus aureus was isolated in one of the cases. Our successful limb salvage approach was based on three steps: 1) removing the infected bone; 2) culture-guided antibiotic treatment; and 3) stabilizing the infected foot by means of total contact casting with openings resulting in a stable foot. To the best of our knowledge, there are no reports of the use of a total contact cast to stabilize an unstable and infected foot. Eight years (Case 1) and four years (Case 2) after complete healing, there were no recurrences of infection.Limb salvage for spreading midfoot osteomyelitis following diabetic foot surgery - Corrected ProofJavier Aragón-Sánchez, José L. Lázaro-Martínez, Almudena Cecilia-Matilla, Yurena Quintana-Marrero, María J. Hernández-Herrero10.1016/j.jtv.2011.12.002Journal of Tissue Viability (2012)2012-01-09Journal of Tissue Viability2012-01-09CASE REPORT